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That Sinking Feeling

Does the current economic state of ophthalmology give you that over-whelming sinking feeling? You would not be alone. Ophthalmology has dealt with cuts from Medicare over the last several decades and usually has compensated with increases in efficiency and volume. Unfortunately, that model of response is quickly coming to an end. We cannot buy high and sell low and make

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Is Bigger Truly Better?

All ophthalmic practices wonder if size equates with success. After all, there does tend to be a correlation between high earners and large practices, so it’s a natural instinct for us to pursue continuous growth. In reality, “super-sizing” your practice is not always prudent or cost effective—it is better to learn how to “right-size” your practice. Not Too Big, Not

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Lifelong Learning Enhances Patient Care

“See One. Do One. Teach One.” was the mantra of my general surgery internship, and likely yours as well. At the time, I thought it was a cruel joke, as we were dealing with patients requiring central lines, ventilator settings and trauma surgery. Over time, I have come to appreciate the greater meaning of the saying. In reality it is

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Uses and Abuses of Personal Power

Success in life is largely determined by choosing how to use our personal power, and being aware of how others use theirs. If others can intimidate or instill a profound regard, this quickly tips the scales in their favor and gives them an advantage. By analyzing your interpersonal relations more closely, you can adjust the balance of power and play

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Questions to Ask Before Closing Out 2010

The end of another year is upon us. While most of us are ready to relax and enjoy the holidays, it is still important to spend some time on comprehensive end-of-year planning so that our practices will hit the ground running in 2011. Accountants usually like to come out this time of year and give the practice a general financial

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Overcoming Overtime

Overtime laws were initially instituted to help protect workers from abusive schedules and to help spur employment. By forcing employers to pay time and a half to hourly workers for time worked over 40 hours in a work-week, there was a significant financial penalty to overtime wages, encouraging the employer to add staff instead of additional hours. Many myths have

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Evaluation of Two Premium IOL’s

In a prospective, randomized study, I compared visual outcomes following bilateral implantation of two premium aspheric IOLs, the Tecnis Multifocal (Abbott Medical Optics, Inc., Santa Ana, Calif.) and the Crystalens AO (Bausch & Lomb, Rochester, N.Y.). A total of 40 patients with cataract in both eyes were enrolled with 20 patients (40 eyes) in each group. To be considered for

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The Advantages of High Definition Cataract Surgery

Wavefront aberrometry is a widely used method of determining refractive error in the eyes of corneal refractive surgery patients. First employed as a diagnostic tool, wavefront aberrometry has emerged as the dominant means of refraction in LASIK, with wavefront data being used to program the excimer laser. The benefits associated with this technology’s ability to fine-tune corneal refractive outcomes are

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The Importance of Certification: Strengthening Your Eye Care Team

Published in the July 2008, JCAHPO Eye Lights Newsletter – Following the 2007 publication of the groundbreaking scientific study titled, “A Comparative Study of the Impact of Certified and Non-Certified Ophthalmic Medical Personnel on Practice Quality and Productivity,” leading physicians and researchers established concrete, physical data that illustrates the benefits of certification for ophthalmic personnel. Certified personnel outperformed non-certified personnel

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